Active NPI 1992735302 Individual Practitioner Male Practitioner

Dr. John K Wallace , MD

Ophthalmology • Dothan, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Wallace, MD is a certified Ophthalmology practicing in Dothan, AL. With approximately 47 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 1979, Dr. Wallace delivers high-quality medical care to the local community at 2664 HARTFORD HWY.

Dr. Wallace is affiliated with Eye Surgical Associates P C and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2664 Hartford Hwy

Dothan, AL 363054904

Telephone 3346992244

Fax 3346992245

Associated Practice Facility / Clinic

🏢 Eye Surgical Associates P C Facility NPI 1669648879

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Dothan, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +16.4 yrs vs City Avg

City Avg: 30.6 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

21 Specialists

Practicing in Dothan, AL (257 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (47 Years) 47 Yrs

Dothan Specialty Average (30.6 Years) 30.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	297	$135.00	$115.09
99213 Established patient office or other outpatient visit, typically 15 minutes	236	147	$90.00	$81.75
92083 Exam of visual field with extended testing	109	92	$115.00	$55.18
92133 Imaging of optic nerve	86	84	$70.00	$31.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$205.00	$149.10
66821 Removal of recurring cataract in lens capsule using a laser	75	70	$459.27	$304.34
92134 Imaging of retina	68	64	$70.00	$35.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$135.00	$99.85
92250 Photography of the retina	22	22	$95.00	$32.58
67820 Removal of eyelashes using forceps	18	18	$73.89	$15.95
92285 Photography of content of eyes	13	13	$60.00	$17.57
92025 Ct scan of cornea	12	11	$95.00	$32.07
68801 Dilation of tear drainage opening	12	12	$212.50	$94.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	243	$135.00	$120.01
99213 Established patient office or other outpatient visit, typically 15 minutes	186	136	$90.00	$82.83
66821 Removal of recurring cataract in lens capsule using a laser	121	105	$439.01	$318.64
92083 Exam of visual field with extended testing	113	101	$115.00	$56.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$205.00	$157.05
92133 Imaging of optic nerve	73	67	$70.00	$33.05
92134 Imaging of retina	58	57	$70.00	$36.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$135.00	$105.13
92250 Photography of the retina	22	22	$95.00	$34.27
67840 Removal of eyelid growth	18	17	$390.83	$265.46
92025 Ct scan of cornea	15	14	$95.00	$33.16
92020 Examination of cornea and iris using lens device and slit lamp	15	13	$50.00	$24.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	266	$135.00	$120.84
99213 Established patient office or other outpatient visit, typically 15 minutes	185	145	$90.00	$86.05
66821 Removal of recurring cataract in lens capsule using a laser	139	120	$453.81	$325.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$205.00	$158.41
92083 Exam of visual field with extended testing	83	77	$115.00	$57.35
92133 Imaging of optic nerve	70	69	$70.00	$33.90
92134 Imaging of retina	49	43	$70.00	$37.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$135.00	$106.39
92250 Photography of the retina	20	20	$95.00	$34.63
92285 Photography of content of eyes	12	11	$60.00	$17.86
68801 Dilation of tear drainage opening	11	11	$177.27	$95.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	424	383	$135.00	$123.36
66984 Removal of cataract with insertion of lens	352	221	$1415.00	$422.43
92136 Measurement of corneal curvature and depth of eye	301	209	$150.00	$42.30
99213 Established patient office or other outpatient visit, typically 15 minutes	287	203	$90.00	$86.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	247	247	$205.00	$158.83
66821 Removal of recurring cataract in lens capsule using a laser	201	162	$431.52	$317.51
92025 Ct scan of cornea	197	185	$95.00	$32.26
92134 Imaging of retina	90	78	$70.00	$37.67
92083 Exam of visual field with extended testing	89	85	$115.00	$58.99
92133 Imaging of optic nerve	81	79	$70.00	$34.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	59	$180.00	$171.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$135.00	$107.44
92250 Photography of the retina	41	41	$95.00	$36.35
66982 Complex removal of cataract with insertion of prosthetic lens	29	23	$1485.00	$605.22
92020 Examination of cornea and iris using lens device and slit lamp	27	20	$50.00	$25.58
67820 Removal of eyelashes using forceps	16	12	$78.75	$20.17
68801 Dilation of tear drainage opening	12	12	$237.50	$115.47
67840 Removal of eyelid growth	11	11	$335.00	$270.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	506	448	$135.00	$103.21
92136 Measurement of corneal curvature and depth of eye	461	286	$150.00	$48.65
66984 Removal of cataract with insertion of lens	368	228	$1415.00	$434.72
92025 Ct scan of cornea	300	274	$95.00	$31.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	292	292	$205.00	$156.62
99213 Established patient office or other outpatient visit, typically 15 minutes	264	165	$90.00	$70.46
66821 Removal of recurring cataract in lens capsule using a laser	190	143	$425.92	$317.36
92133 Imaging of optic nerve	110	107	$70.00	$34.42
92083 Exam of visual field with extended testing	109	106	$115.00	$57.67
92134 Imaging of retina	106	98	$70.00	$36.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	94	$180.00	$137.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$135.00	$100.69
66982 Complex removal of cataract with insertion of prosthetic lens	39	30	$1485.00	$581.94
67820 Removal of eyelashes using forceps	27	19	$85.56	$26.30
92250 Photography of the retina	26	26	$95.00	$39.75
92285 Photography of content of eyes	20	18	$60.00	$17.46
92020 Examination of cornea and iris using lens device and slit lamp	17	14	$50.00	$26.53
92082 Exam of visual field with intermediate testing	16	16	$90.00	$42.98
15823 Removal of excessive skin and fat of upper eyelid	12	12	$2480.00	$783.96
92286 Imaging of front third of eye using a special microscope	11	11	$230.00	$34.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	584	358	$150.00	$51.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	563	509	$135.00	$100.27
66984 Removal of cataract with insertion of lens	466	287	$1415.00	$491.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	377	377	$205.00	$151.85
92025 Ct scan of cornea	355	334	$95.00	$31.53
99213 Established patient office or other outpatient visit, typically 15 minutes	256	166	$90.00	$68.68
66821 Removal of recurring cataract in lens capsule using a laser	229	183	$418.62	$309.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$135.00	$99.72
92133 Imaging of optic nerve	154	151	$70.00	$33.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	127	126	$180.00	$136.88
92083 Exam of visual field with extended testing	118	116	$115.00	$56.38
92134 Imaging of retina	117	110	$70.00	$36.72
66982 Complex removal of cataract with insertion of prosthetic lens	33	28	$1485.00	$627.72
92250 Photography of the retina	29	29	$95.00	$44.90
67820 Removal of eyelashes using forceps	27	16	$90.74	$32.31
92285 Photography of content of eyes	22	21	$60.00	$16.96
68801 Dilation of tear drainage opening	19	19	$213.16	$102.12
92286 Imaging of front third of eye using a special microscope	17	17	$230.00	$34.39
92020 Examination of cornea and iris using lens device and slit lamp	17	15	$50.00	$26.15
92082 Exam of visual field with intermediate testing	15	14	$90.00	$44.27
67840 Removal of eyelid growth	15	13	$424.33	$292.15
15823 Removal of excessive skin and fat of upper eyelid	11	11	$2480.00	$745.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	930	556	$150.00	$56.26
66984 Removal of cataract with insertion of lens	794	476	$1415.00	$475.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	606	526	$135.00	$98.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	592	592	$205.00	$151.32
92025 Ct scan of cornea	538	519	$95.00	$31.35
66821 Removal of recurring cataract in lens capsule using a laser	258	200	$419.83	$301.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	207	195	$180.00	$130.13
92134 Imaging of retina	143	134	$70.00	$35.93
99213 Established patient office or other outpatient visit, typically 15 minutes	90	64	$90.00	$67.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$135.00	$100.13
92133 Imaging of optic nerve	86	85	$70.00	$33.37
92083 Exam of visual field with extended testing	81	76	$115.00	$56.81
66982 Complex removal of cataract with insertion of prosthetic lens	68	53	$1485.00	$618.67
92285 Photography of content of eyes	42	41	$60.00	$15.94
92250 Photography of the retina	30	30	$95.00	$46.72
92082 Exam of visual field with intermediate testing	23	23	$90.00	$42.32
67820 Removal of eyelashes using forceps	22	12	$101.82	$44.82
92286 Imaging of front third of eye using a special microscope	22	22	$230.00	$33.43
67840 Removal of eyelid growth	19	19	$393.16	$277.22
15823 Removal of excessive skin and fat of upper eyelid	18	18	$2480.00	$762.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	941	587	$150.00	$61.70
66984 Removal of cataract with insertion of lens	819	504	$1415.00	$478.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	678	678	$205.00	$151.17
92025 Ct scan of cornea	588	560	$95.00	$30.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	449	343	$135.00	$99.20
66821 Removal of recurring cataract in lens capsule using a laser	329	260	$418.78	$302.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	235	228	$180.00	$131.64
92134 Imaging of retina	183	169	$70.00	$35.93
92083 Exam of visual field with extended testing	107	98	$115.00	$56.40
92133 Imaging of optic nerve	98	96	$70.00	$33.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$135.00	$100.99
66982 Complex removal of cataract with insertion of prosthetic lens	79	64	$1485.00	$640.42
99213 Established patient office or other outpatient visit, typically 15 minutes	68	60	$90.00	$67.33
92285 Photography of content of eyes	62	49	$60.00	$17.14
92250 Photography of the retina	49	49	$95.00	$54.03
83516 Analysis of substance using immunoassay technique	42	21	$20.00	$14.63
92286 Imaging of front third of eye using a special microscope	29	29	$230.00	$33.64
67840 Removal of eyelid growth	25	25	$392.60	$269.27
67820 Removal of eyelashes using forceps	24	16	$87.50	$47.74
92082 Exam of visual field with intermediate testing	23	23	$90.00	$44.44
15823 Removal of excessive skin and fat of upper eyelid	22	22	$2480.00	$757.66
68801 Dilation of tear drainage opening	20	18	$240.00	$101.45
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$50.00	$25.54

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AL 00013178

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000046695 (AL)

Hospital & Practice Group Affiliations

Eye Surgical Associates P C

2664 Hartford Hwy, Dothan, AL 363054904

Phone: 3346992245

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. William Gannon , MD

Ophthalmology

NPI 1275978850

Doctor of Medicine (M.D.)

Dr. Allan Kelley , MD

Ophthalmology

NPI 1487695458

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 22, 2010

Registered at 2664 HARTFORD HWY, DOTHAN, AL 363054904 (Tel: 3346992244)

📍

Updated Business Mailing Address March 22, 2010

Registered at 2664 HARTFORD HWY, DOTHAN, AL 363054904 (Tel: 3346992244)

👤

Provider Name / Credentials Updated March 22, 2010

Recorded as JOHN WALLACE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2010

Ophthalmology (License #00013178 in AL)

🟢

Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992735302

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: March 22, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2664 Hartford Hwy

Dothan, AL 363054904

Phone: 3346992244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.